Emergency Preparedness Status in Maharashtra (IEAG July11) Dr D S Dakhure Director(HFW-MH)
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Transcript of Emergency Preparedness Status in Maharashtra (IEAG July11) Dr D S Dakhure Director(HFW-MH)
Emergency Preparedness Status in Maharashtra
(IEAG July11)
Dr D S DakhureDirector(H&FW-MH)
Maharashtra
• Part I Epidemiological risk in
Maharashtra• Part II Emergency Preparedness &
response Plan (EPRP)
WPV importation and Transmission risk in Maharashtra
MHMaharashtra Profile 2011
Population 112.6 Million
No. of Districts 34No. of
Corporations 22
No. of Blocks 396
Source: Census 2011
Maharashtra is the second most populous state after Uttar Pradesh and third largest state by area after Rajasthan & Madhya Pradesh in India. It is the richest state in India- MIGRATION RISK- PULL MIGRATION
Risk factors-Maharashtra
• High urbanization• High migration (inter/intra state)• Booming construction industry• Slums• Seasonal migrants (sugar cane cutters-Beed)• Past history of WPV importations/ transmission
Risk factors-Maharashtra
Mumbai & Thane
High migration, Construction workforce & Slums. Past h/o importations/ transmission
Bhiwandi & Malegaon
Refusals/Vaccine avoidance. Large underserved population
Rest of MH High urbanization. Seasonal migration (sugarcane cutters)
MAHARASHTRA
No. District 2003 2004 2005 2006 2007 2008 2009 2010 2011
1 NASIK 0 1 0 0 0 0 0 4
2 BEED 0 0 0 1 0 0 0 1
3 THANE 1 1 0 1 1 1 0 0
4 GR. MUMBAI 0 1 0 3 0 1 0 0
5 AMRAVATI 0 0 0 0 1 0 0 0
6 SANGLI 1 0 0 0 0 0 0 0
7 NANDED 1 0 0 0 0 0 0 0
Maharashtra Total 3 3 0 5 2 2 0 5
MAHARASHTRA WPV Cases – 2010 & 2011*
P1 Wild Case - 5 Idcode Donset1) MH-NSK-10-201 10/01/2010Mohd. Kasim Asrar Ahmad – 12 months
2) MH-NSK-10-217 21/07/2010Sultan Shaikh Akil – 24 months
3) MH-NSK-10-220 24/08/2010 Altmish Anjum Siraj Ahmad – 10 months
4) MH-NSK-10-221 10/08/2010Fareeha Mohd. Ibrahim – 22 months5) INDMHOBD10017 16/09/2010Raj Kiran Ade – 10 months
WPV Cases 2006-2010 MH
Mumbai + Thane 7Nasik (Malegaon Corp) 4
Beed 2
Amravati 1
Mumbai
WPV Cases Mumbai 1999 onwards*Year H-E G-N K-W M-E B P-N R-N1999 2 1
2000 1 1 12001 12002 2 2003 2004 12005 2006 2
12007
2008 12009
2010
High Risk Wards-Mumbai
P/N,L,S Slums with migration
H/W,
K/E,K/W
Highest construction sites
(70%)
G/N,
F/N,M/E
Environmental Surveillance
Sample wards
High Risk Wards in Mumbai
9 High Risk wards in Mumbai on highest priority for SIA &
Surveillance
Additionally …..
• Industrialized areas of Thane (Bhiwandi) & Raigad are at high risk of WPV transmission due to:
1) High MIGRATION2) Construction workforce from endemic states
of UP, Bihar & West Bengal)3) Slums with migration
Risk in MH Area Risk Factors
Mumbai & Thane
Past h/o WPV transmission, Migration and Slums & Sewage sample results
Malegaon Corp(& other urban areas)
Vaccine avoidance/Refusals/Low Routine Immunization
Beed and other migratory pop. Districts
Seasonal migration
Areas at risk WPV transmission in Maharashtra
Emergency Preparedness & response Plan (EPRP)-MH status
State Emergency Preparedness & Response Group – Maharashtra formed
• Preparatory meeting was held in 3rd week of Apr.11 in Pune with Addl Director and SEPIO to finalize names of RRT team members for high risk areas.
• EPRP meeting was held on 7th May 11 at Arogya Bhavan Mumbai under chairmanship of Director (H&FW)
EPRP-Maharashtra• EPRP meeting was conducted under
chairmanship of Director-H&FW,MH with officials from all high risk areas :Mumbai, Malegaon Bhiwandi, Thane & Nasik districts.
• All members of core team were explained in detail about EPRP
• Senior experienced officials from state are identified as RRT members
EPRP-Maharashtra
• They are assigned all pre-identified high risk areas.
• Senior state officials from HQ are designated as state supervisors for RRT members.
EPRP ACTIVITIES-Maharashtra
Task Actions Status
Areas with high risk of importation & spread of poliovirus
Mumbai Metropolitan Region (MMR), all Corporations (24) and high migratory districts-Beed
Completed
Districts/blocks with low RI coverage Identified Completed
Communication Risk Analysis
Bhiwandi & Malegaon Corporation
69 Fast Track Field Volunteers (FTFVs) and 13 Field Volunteers in place coordinating with UNICEF
Media response plan Addl. Director chairman of media response Completed
EPRP ACTIVITIES-MH Task Action Status
Rapid Response Team (RRT) members
Identified by name for all high risk areas Completed
Surveillance Review
Reviewed on monthly basis and letter issued from state to defaulting districts
Completed/ Ongoing activity
Assigning senior state officials to high risk districts/blocks
Followed in all SIAs and reports submitted for corrective actions
Completed/ Ongoing
Migratory area mapping
Completed in Mumbai-Thane-Raigad and Malegaon
Rest of the state will be completed in next three months
State Senior SupervisorsSr. No. Name High Risk area assigned
1 AHO EPI Mumbai Corporation Mumbai
2Deputy Director of Health Services Mumbai Circle
Thane district and all 6 Corporations
3Deputy Director of Health Services Nasik Circle
Malegaon Corporation and Nasik district
Special Plan for strengthening Routine Immunization in
Malegaon Corporation
• Deployment of PHNs and ANMs to Malegaon Corporation to manage RI
• Has shown good results • Out of 2790 RI sessions planned 2730 (98%)
conducted
Month PHN ANM Total Staff Deputed
No. of Immunization
Sessions planned
Actual no. of Immunization Sessions held
Oct.10 10 27 37 359 351Nov.10 5 25 30 312 296Dec.10 4 23 27 277 281Jan.11 2 19 21 277 275Feb.11 0 6 6 280 275Mar.11 1 9 10 283 287Apr.11 0 9 9 328 323May.11 0 6 6 339 316June.11 0 3 3 335 326
Total 22 127 149 2790 2730
Improvement in Malegaon RI due to deployment PHN/ANMs
Summary
• Mumbai/ Thane followed by Malegaon are highest risk areas for WPV transmission
• Maharashtra is fully committed to implement Emergency Preparedness Response Plan
• SIA preparedness meetings of all key officials from high risk areas are conducted before each SIA
• Regular reviews at highest level for all HIGH RISK area during/after ALL SIAs for corrective actions.
With all good wishes from Maharashtra